| NPI | 1508267717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA OPPENHEIMER President 813-966-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 6879) |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2014-09-07 |